Evidence map›Paper›PMID 40125145›Full record

ArticleCureus2025

Outcome of the Ponseti Method for Treatment of Idiopathic Congenital Clubfoot.

Raja Muhammad Mussab, Syed Muhammad Zohaib Raza, Ramsha Kirmani, Kazim Hussain, Shehanshah Muhammed Arqam

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Raja Muhammad MussabOrthopaedics and Trauma, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Syed Muhammad Zohaib RazaOrthopaedics and Trauma, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Ramsha KirmaniOrthopaedics and Trauma, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Kazim HussainOrthopaedics and Trauma, Jinnah Postgraduate Medical Centre, Karachi, PAK.
Shehanshah Muhammed ArqamOrthopaedics and Trauma, Jinnah Postgraduate Medical Centre, Karachi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Idiopathic congenital clubfoot is a complex deformity that requires treatment to reduce the deformity to a flexible, plantigrade, and painless foot. The Ponseti method has gained international prominence due to its effectiveness and reduction in the need for surgical procedures. The aim of this study is to determine the outcome of the Ponseti method in patients with idiopathic congenital clubfoot, which will generate local evidence. Methods A descriptive cross-sectional study was conducted in the Department of Orthopaedics at Jinnah Postgraduate Medical Centre (JPMC) Karachi over a six-month period, from September 6, 2022, to March 7, 2023. Participants were included if they were children under three years of age, presented with idiopathic congenital clubfoot, and had a Pirani score of 2 or higher. The outcome was assessed immediately after the completion of treatment and after four months by using the Pirani score. Results were graded as excellent (Pirani score <1), good (score 1-2), and poor (score >2). Baseline demographic characteristics and Pirani score were recorded immediately after completion of treatment and after four months. Effect modifiers such as age, gender, weight, residence, and baseline Pirani score were controlled through stratification. Post-stratification Chi-square test was applied taking p-value ≤0.05 as significant. Results Of 91 neonates, the mean age of the neonates was 1.44 ±0.66 years. There were 51 (56%) males and 40 (44%) females. The Pirani score immediately after the treatment was 1.61 ± 1.38. Excellent outcome immediately after the treatment was observed in 43 (47.3%), good in 26 (28.6%), and fair in 22 (24.2%). At four months follow-up, the Pirani score was 0.91 ± 0.81. Excellent outcome immediately after the treatment was observed in 63 (69.2%), good in 23 (25.3%), and fair in five (5.5%). Conclusion The Ponseti method is an effective and reliable treatment for idiopathic congenital clubfoot at a tertiary care hospital. The intervention achieves marked improvement in deformity correction and also sustains clinical benefits over the short-term follow-up period. Future research with extended follow-up periods and broader sample sizes is needed to further evaluate long-term functional outcomes.

Indexed as

conservative and surgical treatmentidiopathic congenital clubfootpirani scoreponseti castingponseti's method

Identifiers

PMID40125145
PMCPMC11929608

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